To determine the excess cost of health care services for three illnesses in formula-fed infants in the first year of life, after adjusting for potential confounders.
Frequency of health service utilization for three illnesses (lower respiratory tract illnesses, otitis media, and gastrointestinal illness) in the first year of life was assessed in relation to duration of exclusive breastfeeding in the Tucson Children's Respiratory Study (n=944) and the Dundee Community Study (Scottish study, n=644).
Infants in both studies were healthy at birth and represented nonselected, population-based samples.
Children were classified as never breastfed, partially breastfed, or exclusively breastfed, based on their feeding status during the first 3 months of life.
Frequency of office visits and hospitalizations for the three illnesses was adjusted for maternal education and maternal smoking, using analysis of variance.
Cost estimates, from the perspective of the health care provider/payer, were based on the direct medical costs during 1995 within a large managed care health care system.
In the first year of life, after adjusting for confounders, there were 2033 excess office visits, 212 excess days of hospitalization, and 609 excess prescriptions for these three illnesses per 1000 never-breastfed infants compared with 1000 infants exclusively breast-fed for at least 3 months. (...)
Mots-clés Pascal : Lait infantile, Analyse coût, Aliment pour nourrisson, Economie santé, Complication, Appareil digestif pathologie, Etats Unis, Amérique du Nord, Amérique, Nourrisson, Homme
Mots-clés Pascal anglais : Infant formula, Cost analysis, Infant food, Health economy, Complication, Digestive diseases, United States, North America, America, Infant, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0229659
Code Inist : 002B30A03C. Création : 16/11/1999.